Practice Management

  • 1.  76811 Guideline

    Posted 06-29-2022 15:45
    Can you please clarify if CPT 76811 can be billed if one of the requirements were not visible and documentation states not "visualized due to fetal position".  Everything I have seen says you can bill 76801 or 76805 if something is not visible, but cannot find anything for 76811.

    Thanks for your help,
    Penni Savignac, CPC

    Penni Savignac

  • 2.  RE: 76811 Guideline

    Posted 06-29-2022 15:54

    If any of the required fetal or maternal components are non-visualized due to fetal position, late gestational age, maternal habitus, etc., the circumstance must be clearly noted in the ultrasound report to meet the requirements for billing this service.




    Erin Kornovich, CPC | Coding Specialist II – Maternal Fetal Medicine & Physiatry


    P: 320-251-2700, ext. 52373


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